{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:54:18Z","timestamp":1747184058784,"version":"3.40.5"},"reference-count":11,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,2,25]],"date-time":"2022-02-25T00:00:00Z","timestamp":1645747200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>In response COVID\u201019, re\u2010establishing safe elective services was prioritised in the UK. We assess the impact on face\u2010to\u2010face hospital attendance, cost and efficiency of implementing a virtual sleep clinic (intervention 1) to screen for children requiring level 3 ambulatory sleep studies using newly implemented ENT\u2010UK guidelines for obstructive sleep apnoea (OSA) investigation (intervention 2). Objectives: (1) compare the proportion of children attending sleep clinic undertaking a sleep study before and after implementation of these interventions; (2) compare clinic cancellations and first\u2010time success rates of sleep studies before and after intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>District general hospital paediatric sleep clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Children aged 3\u00a0months to 16\u00a0years referred to sleep clinic by ENT for investigation of OSA over 3\u00a0months immediately following interventions (1\u00a0June 2020 \u2013 1 September 2020) to the same period in the previous year (1\u00a0June 2019 \u2013 1 September 2019).<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Number of children attending sleep clinic, date of birth\/age of children attending sleep clinic, number of children undergoing sleep study, diagnostic outcomes, number of appointment cancellations, number of first\u2010time sleep study failures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Post intervention, there was a significant reduction in the proportion of children undertaking ambulatory sleep studies, and nonsignificant reductions in appointment cancellations and in first\u2010time sleep study failures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The introduction of the virtual sleep clinic meant that only those children requiring a sleep study attended a face\u2010to\u2010face appointment, which led to reduced face\u2010to\u2010face attendance. There were also unintended cost\u2010effectiveness and efficiency benefits, with potential longer\u2010term learning implications for the wider sleep community and other diagnostic services.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.13918","type":"journal-article","created":{"date-parts":[[2022,2,16]],"date-time":"2022-02-16T14:30:13Z","timestamp":1645021813000},"page":"433-439","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Running a paediatric ambulatory sleep service in a pandemic and beyond"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9031-7022","authenticated-orcid":false,"given":"Jo\u2010Anne","family":"Johnson","sequence":"first","affiliation":[{"name":"Anglia Ruskin School of Medicine  Chelmsford UK"},{"name":"Department of Paediatrics East Suffolk and North Essex NHS Foundation Trust  Colchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5616-0500","authenticated-orcid":false,"given":"Katrina","family":"Burrows","sequence":"additional","affiliation":[{"name":"Department of Paediatrics East Suffolk and North Essex NHS Foundation Trust  Colchester UK"},{"name":"University of Suffolk  Ipswich UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8365-8024","authenticated-orcid":false,"given":"Aaron","family":"Trinidade","sequence":"additional","affiliation":[{"name":"Anglia Ruskin School of Medicine  Chelmsford UK"},{"name":"Mid &amp; South Essex NHS Foundation Trust  Essex UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,2,25]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Who.int.Timeline: WHO's COVID\u201019 response. [online].2021. Available at: <https:\/\/www.who.int\/emergencies\/diseases\/novel\u2010coronavirus\u20102019\/interactive\u2010timeline\/> [Accessed 1 November 2021]"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m1106"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2018-315676"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.7878"},{"key":"e_1_2_12_6_1","unstructured":"ENTUK.org.Safe Delivery of Paediatric ENT Surgery in the UK: A National Strategy. [online].2021. Available at: <https:\/\/www.entuk.org\/safe\u2010delivery\u2010paediatric\u2010ent\u2010surgery\u2010uk\u2010national\u2010strategy> [Accessed 1 November 2021]"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2017.01.014"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2017.06.032"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-019-01964-7"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.3758\/bf03193146"},{"key":"e_1_2_12_11_1","unstructured":"RCPCH.ac.uk.2021. [online] Available at: <https:\/\/www.rcpch.ac.uk\/sites\/default\/files\/generated\u2010pdf\/document\/COVID\u201019\u2010\u2010\u2010guidance\u2010for\u2010paediatric\u2010services.pdf> [Accessed 1 November 2021]"},{"key":"e_1_2_12_12_1","unstructured":"Hra\u2010decisiontools.org.uk.2021. [online] Available at: <http:\/\/www.hra\u2010decisiontools.org.uk\/research\/docs\/DefiningResearchTable_Oct2017\u20101.pdf> [Accessed 1 November 2021]"}],"container-title":["Clinical Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.13918","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/coa.13918","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.13918","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T03:22:37Z","timestamp":1692847357000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/coa.13918"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,25]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["10.1111\/coa.13918"],"URL":"https:\/\/doi.org\/10.1111\/coa.13918","archive":["Portico"],"relation":{},"ISSN":["1749-4478","1749-4486"],"issn-type":[{"type":"print","value":"1749-4478"},{"type":"electronic","value":"1749-4486"}],"subject":[],"published":{"date-parts":[[2022,2,25]]},"assertion":[{"value":"2021-11-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-02-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-02-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}